TRANSFERRIN, IRON, AND SERUM-LIPIDS ENHANCE OR INHIBIT MYCOBACTERIUM-AVIUM REPLICATION IN HUMAN MACROPHAGES

Mycobacterium avium grows exponentially over 7 days in human macrophages when they are cultured in serumless medium. Normal serum inhibits this replication. When serum lipids were extracted using chloroform, the inhibitor was present in the lipid-free component. The lipid extract significantly enhanced M. avium replication. Iron (Fe2+) added at 8-80 mug/mL to infected macrophage cultures in serum resulted in enhanced mycobacterial replication. Serum-induced inhibition of bacterial growth in serumless medium could be duplicated with apotransferrin at 50-500 mug/mL. At 1000 mug/mL, apotransferrin no longer inhibited bacterial growth. Holotransferrin was not inhibitory, and at 500 mug/mL, it enhanced M. avium growth. Depletion of the transferrin in serum by affinity chromatography using goat anti-transferrin on protein G-Sepharose removed inhibitory activity. These results indicate that transferrin levels, transferrin saturation, iron levels, and serum lipids can profoundly alter the replication of M. avium in association with macrophages.